SUNSHINE ENTERPRISE USA LLC
Location
Orange, CA | United States
Job description
Data Entry Technician (Claims)
Company Overview:
Sunshine Enterprise is an industry-leading Staffing and Recruitment Firm. Our clients are fortune 500 companies, high growth start-up companies, government, and private equity firms, and lead professional services firms. As a leading force in the business landscape, we take pride in bringing together great people and great organizations by fostering a work environment that values creativity, diversity, and growth. If youre ready to embark on a rewarding career journey with a company that prioritizes its employees, explore our current job opportunities below.
Position Summary:
The Data Entry Tech (Claims) will ensure consistent and efficient operations and assist with the day-to-day responsibilities for Claims Administration. The Data Entry Techs should be attentive to detail and capable of assisting with day-to-day data entry tasks including processing, organizing, and other services. This individual is responsible and communicative with staff. They will be performing routine and complex data entry and maintenance functions.
Position Responsibilities
- Performs data entry of various documents, data sources and files.
- Conducts outreach calls for data entry purposes as needed.
- Assists with mailing information to members.
- Provides resource and mailing support for teleworking staff as applicable.
- Alerts supervisor of any issues that impact production and quality.
- Ensures all Protected Healthcare Information (PHI) is locked at the end of the day.
- Completes other projects and duties as assigned.
Possesses the Ability to:
- Use data entry common techniques.
- Maintain organized files and be detail oriented.
- Analyze incoming mail and determine an appropriate course of action.
- Work independently and as part of a team.
- Communicate clearly and concisely, both orally and in writing.
- Utilize computer and appropriate software (e.g., Microsoft Office: Excel, Outlook, PowerPoint, Word) and job-specific applications/systems to produce correspondence, charts, spreadsheets and/or other information applicable to the position assignment.
Experience & Education
- High School diploma or equivalent required.
- 1 year of data entry experience required.
- Bilingual in English and in one of the defined threshold languages preferred.
- Experience in an HMO, Managed Care or Medi-Cal setting preferred.
- An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
Preferred Qualifications
- Experience in claims operation within a managed care or health care industry.
Knowledge of:
- Medi-Cal claim forms: CMS1500, UB04 and 25-1.
- Standard medical terminology, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), revenue codes and International Classification of Diseases (ICD-10)
SUNSHINE ENTERPRISE USA LLC is an Equal Opportunity Employer and does not discriminate based on race or ethnicity, religion, sex, national origin, age, veteran disability or genetic information or any other reason prohibited by law in employment.
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